Cardiovascular

Features of R ventricle

Features of L ventricle

Which side of heart sounds louder?

Anatomy: Base of Heart

Anatomy: Apex

Name the arteries and their respective valves

Where are the Atrioventricular Valves?

Circulation: heart to lungs

Circulation: lungs to heart

Circulation: heart to body

Circulation: body to heart

Systole

Diastole

Valves during systole

Cardiac Cycle

When does systole begin?

When/which valves close/open during Systole?

When does diastole begin?

When and which valve opens during diastole?

When/where does contraction occur in diastole?

S3

S4

Which part of cardiac cycle is auscultated?

Cardiovascular Exam

JVP exam

JVP look and feel

Normal JVP
vs.
Significance of Abnormal JVP

Pt position for Carotid Pulse

where to inspect for carotid pulse

What to palpate for carotid pulse

How to auscultate carotid pulse
(before palpation)

Pt's position for cardiac exam

Examiner's positioning for cardiac exam

What to look for in Cardiac Exam: Inspection

What to feel for in Cardiac Exam: Palpation

What to listen for in Cardiac Exam: Auscultation

Location of Apical Impulse

Normal Diameter of Apical Impulse

Normal Amplitude of Apical Impulse

How to measure duration of Apical Impulse

Designated Areas of Precordium to Auscultate

Proper Cardiac Auscultation:
Bell vs. Diaphragm

Proper Cardiac Auscultation for
Left Lateral Decubitus Position

Proper Cardiac Auscultation for
Sitting Up, Leaning Forward

Purpose of Cardiac Auscultation using
Squatting, Valsalva maneuvers

When/Where is S1 and S2 loudest?

When do you hear systole and diastole?

Which is longer- systole or diastole?

When are pulses palpable?

Significance of L heart sounds

Significance of R heart sounds

Which side of heart contracts later?

Splitting Heart Sounds

When are physiologic splitting heart sounds accentuated? When do they disappear?

What causes Extra Heart Sounds in Systole

Which valves are affected with extra heart sounds in systole

Auscultating Extra heart sounds in systole

Systolic Clicks

Extra heart sounds in Diastole: Opening Snap

Extra heart sounds in Diastole: S3
(Ventricular Gallop)

Extra Heart Sounds in Diastole: S4

Heart Murmurs

Innocent Mumurs

Pathologic Murmurs

Important Traits to Note in Heart Murmurs

Heart Murmurs: Grading (1-6)

Systolic Mumurs

Diastolic Murmurs

Qualities of Heart Murmurs

Characteristics of Heart Murmur Contours

Adventitious Heart Sounds

Pericardial friction rub

Patent Ductus Arteriosus

Venous Hum
(continuous)

Documenting CV Exam: precordium

Documenting CV exam: JVP

Documenting CV exam: carotid pulses

Documenting CV exam: PMI

Documenting CV exam: S1, S2

Documenting CV exam: S3, S4

CV exam checklist